Combine Submittals.pdf

PDF 3 MB Posted

Attached to
ARC FLASH STUDY
Solicitation number
ISO198-23
Issued by

About this file

This Contract Data Requirements List (CDRL) outlines twelve data items required under Solicitation ISO198-23 for an Arc Flash Study issued by the Department of Justice Bureau of Prisons Correctional Facilities. The contractor must submit a Contractor Personnel Roster at the post-award kickoff meeting and update as required. Additional required submissions include an Operating, Safety, Health and Safety Hazard Analysis Report, Accident Prevention Plan, Severe Hazard Exposure report, Accident Incident Report, Damage Reporting using OPNAVIST 5102.1 format, Quality Control Plan, Production Report, As-Built Drawings five days before beneficial occupancy, Submittal Register, Schedule, and Environmental, Safety, and Occupational Health Plan within ten days of the post-award kickoff meeting. All submissions must be electronically delivered in Microsoft Office 2007 or later format. The government retains ten working days to review and comment on specified submissions.

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DD FORM 1423-1, FEB 2001

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A MISC

Arch Flash Study TBD TBD

1. DATA ITEM

NO. A001 Technical Report - Study/Services

3. SUBTITLE

Production Report

DI-MISC-80508B 4.1 1022

LT

N/A B

DAILY

ASREQ

See BLK 16

ASREQ

COR 1

1022 1

0 1 1

16. REMARKS

BLK 4 - Contractor format is acceptable.

BLK 12 - Due at Post Award Kickoff, daily after Notice to Proceed

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

N/A

Adobe Professional 8.0

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A MISC

Arch Flash Study TBD TBD

1. DATA ITEM

NO. A002 Technical Report - Study/Services

3. SUBTITLE

Schedule

DI-MISC-80508B 4.1 1022

LT

N/A B

ASREQ

ASREQ

See BLK 16

ASREQ

COR 1

1022 1

0 1 1

16. REMARKS

BLK 4 - Contractor format is acceptable.

BLK 12 - Due at Post Award Kickoff and if schedule changes more than (5) five days.

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A MISC

Arch Flash Study TBD TBD

1. DATA ITEM

NO. A003 Technical Report - Study/Services

3. SUBTITLE

Submittal Register

DI-MISC-80508B 4.1 1022

LT

N/A B

See BLK 16

ASREQ

See BLK 16

ASREQ

COR 1

1022 1

0 1 1

16. REMARKS

BLK 4 - Use Format listed in ER 415-1-10 Submittal Register

BLK 10- Updates ASREQ

BLK 12 - Due at Post Award Kickoff

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A MISC

Arch Flash Study TBD TBD

1. DATA ITEM

NO. A004 Technical Report - Study/Services Quality Control Plan

DI-MISC-80508B SOW Para. 4.3.1 1022

LT

A B

N/A

N/A

See BLK 16

N/A

COR 1

1022 1

0 1 1

16. REMARKS

BLK 4 - Contractor format is acceptable.

BLK 8- The government will have 10 days after receipt to review and comment.

BLK 12 - Due at Post Award Kickoff.

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A SAFT

D. SYSTEM/ITEM

Arch Flash Study TBD TBD

1. DATA ITEM

NO. A005 Operating, Support, Health, and Safety (OSH&S) Hazard Analysis Report

DI-SAFT-81841 SOW Para. 4.4.1 1022

LT

A B

ASREQ

ASREQ

See BLK 16

ASREQ

COR 1

1022 1

0 1 1

16. REMARKS

BLK 8- The government will have 10 days after receipt to review and comment.

BLK 10 - ASREQ

BLK 12 - 10 days after Post Award Kickoff

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

BLK 16 - Contractor shall use format called out in EM 385-1-1.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

3. SUBTITLE

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A MISC

D. SYSTEM/ITEM

Arch Flash Study TBD TBD

1. DATA ITEM

NO. A006

2. TITLE OF DATA ITEM

Technical Report - Study Services Accident Prevention Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-80508B SOW Para. 4.4.2 1022

LT

N/A B

ASREQ

ASREQ

See BLK 16

ASREQ

COR 1

1022 1

0 1 1

16. REMARKS

BLK 4 - Utilize format found in EM-385-1-1.

BLK 8- The government will have 10 days after receipt to review and comment.

BLK 12 - Due ten (10) days after PAK.

BLK 10 ASREQ

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A MISC

Arch Flash Study TBD TBD

1. DATA ITEM

NO. A007 Technical Report - Study Services Severe Hazard Exposure

DI-MISC-80508B SOW Para. 6.3 1022

LT

N/A B

ASREQ

N/A

See BLK 16

ASREQ

COR 1

1022 1

0 1 1

BLK 12 - Immediately.

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A MISC

D. SYSTEM/ITEM

Arch Flash Study TBD TBD

1. DATA ITEM

NO. A008 Real Property Facilities As-Built Drawings

DI-MISC-81489B SOW Para. 4.1,4.5 1022

LT

A B

ASREQ

ASREQ

See BLK 16

ASREQ

COR 1

1022 1

0 1 1

16. REMARKS

BLK 4 - The Build Drawings shall accurately reflect the condition of all real property facilities, as to be constructed, installed, and erected.

The title "Build Drawings" shall be clearly marked on the as-built drawings, above the title block, and the words, "REV #" shall be inserted in the title block.

Drawings shall be in accordance with professional engineering and drafting standards and practices.

Drawings shall be marked with “As-built” and signed

BLK 8- The government will have 10 days after receipt to review and comment.

BLK 12 - Due at 5 working days prior to Beneficial Occupancy Date

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

N/A

As-Built Drawings

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM 3. SUBTITLE

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A SAFT

Arch Flash Study TBD TBD

1. DATA ITEM

NO. A009 Accident Incident Report

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-81563 SOW Para. 6.5 1022

LT

N/A See BLK 16

ASREQ

ASREQ

ASREQ

ASREQ

COR 1

1022 1

0 1 1

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

D. SYSTEM/ITEM E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A MISC

Arch Flash Study TBD TBD

1. DATA ITEM

NO. A010 Technical Report - Study/Services Damage Reporting

DI-MISC-80508B SOW Para. 6.7 1022

LT

N/A B

ASREQ

ASREQ

ASREQ

ASREQ

COR 1

1022 1

0 1 1

BLK 4 - Use format in accordance with OPNAVIST 5102.1, Chapter 3, #2.

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

2. TITLE OF DATA ITEM 3. SUBTITLE

4. AUTHORITY (Data Acquisition Document No.) 5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

16. REMARKS

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A MGMT

D. SYSTEM/ITEM

Arch Flash study TBD TBD

1. DATA ITEM

NO. A011 Contractor's Personnel Roster

DI-MGMT-81596A SOW Para. 6.1.4 1022

LT

N/A B

ASREQ

ASREQ

See BLK 16

ASREQ

COR 1

1022 1

0 1 1

BLK 12 - First submission is due at the Post Award Kick-Off meeting, ASREQ.

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

(1 Data Item)

PREVIOUS EDITION MAY BE USED.

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services (0704-0188). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a of information if it does not display a currently valid OMB control number. Please do not return your form to the above organization. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No. listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT C. CATEGORY:

TDP ________ TM _______ OTHER

E. CONTRACT/PR NO. F. CONTRACTOR

3. SUBTITLE

5. CONTRACT REFERENCE 6. REQUIRING OFFICE

7. DD 250 REQ

8. APP CODE

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

11. AS OF DATE

12. DATE OF FIRST SUBMISSION

13. DATE OF SUBSEQUENT

SUBMISSION

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

Draft Final

Reg Repro

15. TOTAL

17. PRICE GROUP

18. ESTIMATED

TOTAL PRICE

G. PREPARED BY H. DATE I. APPROVED BY J. DATE

Page of Pages

TBD A SAFT

D. SYSTEM/ITEM

Arch Flash Study TBD TBD

1. DATA ITEM

NO. A012

2. TITLE OF DATA ITEM

ENVIRONMENTAL, SAFETY, AND

OCCUPATIONAL HEALTH (ESOH) PLAN

4. AUTHORITY (Data Acquisition Document No.)

DI-SAFT-82313 SOW Para. 4.4 1022

LT

A B

ASREQ

ASREQ

ASREQ

ASREQ

COR 1

1022 1

0 1 1

16. REMARKS

BLK 4 - Contractor format is acceptable.

BLK 8 - The government shall have 10 working days for review and comment

BLK 12- Within 10 working days after the PAK meeting

BLK 14 - The Contractor shall submit the report electronically via e-mail. The Contractor shall ensure all attachments are compatible with Microsoft Office 2007 or later software.

DD1423-1_A001_ContractorPersonnelRoster.pdf
DD1423-1_A002_OSH&S.pdf
DD1423-1_A003_Accident Prevention Plan.pdf
DD1423-1_A004_Severe Hazard Exposure.pdf
DD1423-1_A005_Accident Incident Report.pdf
DD1423-1_A006_Damage Reporting.pdf
DD1423-1_A007_Quality Control Plan.pdf
DD1423-1_A008_Production Report.pdf
DD1423-1_A009_As Build Drawings.pdf
DD1423-1_A010_Submittal Reg.pdf
DD1423-1_A011_Schedule.pdf
DD1423-1_A012_ESOH.pdf
2023-08-11T07:45:53-0400
METZGER.RYAN.CHARLES.1295413391
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METZGER.RYAN.CHARLES.1295413391
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2023-08-11T08:01:20-0400
REGAN.JOSEPH.PATRICK.1240883364
2023-08-11T08:01:41-0400
REGAN.JOSEPH.PATRICK.1240883364
2023-08-11T08:01:59-0400
REGAN.JOSEPH.PATRICK.1240883364
2023-08-11T08:02:24-0400
REGAN.JOSEPH.PATRICK.1240883364
2023-08-11T08:02:50-0400
REGAN.JOSEPH.PATRICK.1240883364
2023-08-11T08:03:11-0400
REGAN.JOSEPH.PATRICK.1240883364
2023-08-11T08:03:41-0400
REGAN.JOSEPH.PATRICK.1240883364
2023-08-11T08:04:00-0400
REGAN.JOSEPH.PATRICK.1240883364
2023-08-11T08:04:25-0400
REGAN.JOSEPH.PATRICK.1240883364
2023-08-11T08:04:48-0400
REGAN.JOSEPH.PATRICK.1240883364
2023-08-11T08:05:24-0400
REGAN.JOSEPH.PATRICK.1240883364
2023-08-11T08:05:58-0400
REGAN.JOSEPH.PATRICK.1240883364

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